基于Fogg行为模型的饮食行为干预方案在腹膜透析患者血磷管理中的应用研究  

The application research of dietary behavior intervention program that based on Fogg behavior model in blood phosphorus management on peritoneal dialysis patients

作　　者：徐晴文 王青尔 张曼 陈赟敏 于文馨 索金雅 周健 周婷婷 XU Qingwen;WANG Qing'er;ZHANG Man;CHEN Yunmin;YU Wenxin;SUO Jinya;ZHOU Jian;ZHOU Tingting(National Clinical Research Center for Kidney Diseases,General Hospital of Eastern Theater Command,Nanjing 210002,China)

机构地区：[1]东部战区总医院国家肾脏疾病临床医学研究中心,南京市210002

出　　处：《护理管理杂志》2025年第2期93-97,共5页Journal of Nursing Administration

基　　金：东部战区总医院护理专项课题(22HLZX22)。

摘　　要：目的探讨基于Fogg行为模型构架腹膜透析患者饮食行为干预方案,并评价临床应用效果。方法选取2024年1月至8月置管并长期随访腹膜透析患者184例为研究对象,分为干预组和对照组各92例。对照组采用常规护理方法,干预组在对照组基础上实施6个月基于Fogg行为模型构建的饮食行为干预方案,比较两组患者干预后控制磷摄入行为、磷摄入量达标、实验室指标、患者主观症状等。结果干预后干预组患者控磷管理行为、磷摄入达标率、实验室指标、皮肤瘙痒症状均优于对照组(P<0.01)。结论基于Fogg行为模型的饮食行为干预方案能够促进患者血磷管理行为转变,改善患者血磷状况,提高患者饮食管理依从性,对提高患者腹膜透析治疗效果具有重要意义。Objective To explore the dietary behavior intervention scheme that based on Fogg behavior model for peritoneal dialysis patients,and evaluate the clinical application effect.Methods A total of 184 patients with peritoneal dialysis from January to August 2024 and with long-term follow-up were selected as the study objects,and were divided into the intervention group and the control group with 92 patients in each.The control group was treated with conventional nursing methods,the intervention group was treated with a 6-month dietary behavior intervention program based on Fogg behavior model.The phosphorus control behavior,phosphorus intake standard,laboratory indicators and patient subjective symptoms were compared between the two groups after intervention.Results After intervention,the management behavior of phosphorus control,the compliance rate of phosphorus intake,laboratory indexes and skin pruritus symptoms in the intervention group were significantly lower than those in the control group(P<0.01).Conclusion The dietary behavior intervention program that based on Fogg behavior model can promote the change of blood phosphorus management behavior of patients,improve the blood phosphorus status of patients,and improve the dietary intake compliance of patients,which is of great significance for improving the therapeutic effect of peritoneal dialysis.

关 键 词：腹膜透析 患者 血磷管理 Fogg行为模型 护理管理 饮食行为干预 

分 类 号：R473.5[医药卫生—护理学]